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Fire fighter suffers cardiac arrhythmia during grass fire operations and dies 10 days later - North Carolina.

Authors
Baldwin-T; Hales-T
Source
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE F2009-28, 2010 Mar; :1-14
NIOSHTIC No.
20036868
Abstract
On March 11, 2009, a 60-year-old male volunteer fire fighter (FF) drove a tanker to a 2-acre grass fire. After activating the pump and assisting in pulling the 1-inch hoseline, the FF collapsed. Advanced life support treatment was provided at the scene, en route to the hospital's emergency department (ED), and in the ED. The FF was subsequently transferred to a regional hospital where his condition deteriorated, and he died 10 days later. The death certificate, completed by the Office of the Chief Medical Examiner, listed "complications from ventricular tachycardia/ventricular fibrillation arrest due to ischemic heart disease" as the cause of death. The autopsy, also completed by the Office of the Chief Medical Examiner, listed "complications from cardiac arrest secondary to ischemic cardiomyopathy" as the cause of death. Given the FF's underlying atherosclerotic coronary artery disease (CAD), the stress of performing driver/operator duties related to the grass fire probably triggered his cardiac arrhythmia. The NIOSH investigator offers the following recommendations to address general safety and health issues. Had these recommended measures been in place prior to the FF's collapse, his cardiac arrhythmia and subsequent cardiac death may have been prevented. 1. Provide preplacement and annual medical evaluations to fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 2. Incorporate exercise stress tests following standard medical guidelines into a Fire Department medical evaluation program. 3. Ensure fire fighters are cleared for return to duty by a physician knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of NFPA 1582. 4. Perform an annual physical performance (physical ability) evaluation. 5. Phase in a comprehensive wellness and fitness program for fire fighters. 6. Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA). 7. Conduct annual respirator fit testing.
Keywords
Region-4; Fire-fighting; Fire-fighters; Accident-prevention; Accident-analysis; Accidents; Cardiovascular-system-disease; Cardiovascular-disease; Cardiovascular-system-disorders; Physical-fitness; Cardiac-function; Medical-examinations; Medical-screening; Emergency-responders
Publication Date
20100301
Document Type
Fatality Assessment and Control Evaluation; Field Studies
Fiscal Year
2010
NTIS Accession No.
PB2010-110545
NTIS Price
A03
Identifying No.
FACE-F2009-28
NIOSH Division
DSHEFS
Priority Area
Services: Public Safety
SIC Code
NAICS-92
Source Name
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health
State
NC; OH
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